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Individual

GLORIA BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
240 PARSONS AVE, COLUMBUS, OH 43215-5331
(614) 645-6972
Mailing address
240 PARSONS AVE, COLUMBUS, OH 43215-5331

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
892656
OH

Other

Enumeration date
08/10/2016
Last updated
08/10/2016
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